Individual
MARIE ELYSE BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3385 DEXTER CT STE 101, DAVENPORT, IA 52807-3471
(563) 359-1646
Mailing address
3385 DEXTER CT STE 101, DAVENPORT, IA 52807-3471
(563) 359-1646
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085.007540
IL
363A00000X
Physician Assistant
Primary
099904
IA
Other
Enumeration date
02/12/2020
Last updated
02/29/2020
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